Unusual systemic conditions in a patient with giant cell arteritis
Giant cell arteritis is a systemic vasculitis that causes inflammation in medium- and large-sized blood vessels. The condition can lead to irreversible blindness if not recognised and treated promptly with high-dose steroids. Clinical manifestations typically include headache, jaw pain, fever, and fatigue. However, unusual manifestations of the disease have been reported, including pulmonary nodules, uveitis, pericarditis, and stroke. We report a case of biopsy-confirmed giant cell arteritis in a patient found to have renal cell carcinoma, exhibiting these unusual manifestations simultaneously. This case report demonstrates the atypical presentation that giant cell arteritis may have and the importance of having a high clinical suspicion for the condition.
Authors
- Madhura A. Tamhankar (ORCID: https://orcid.org/0000-0002-1745-0994)
- Grant T. Liu (ORCID: https://orcid.org/0000-0003-2173-281X)
- Dario Marangoni (ORCID: https://orcid.org/0000-0002-7481-3085)
- Alexander M. Solomon
- Khalid El-Jack (ORCID: https://orcid.org/0000-0002-4235-4646)
- Fawaz Naeem (ORCID: https://orcid.org/0000-0003-3788-7736)
- Franz Fogt
- Jenelle Safadi (ORCID: https://orcid.org/0000-0002-3310-3466)
Institutions
- Penn Presbyterian Medical Center (US)
- University of Miami (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Modern Rheumatology Case Reports
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1093/mrcr/rxaf014
- Primary Topic
- Vasculitis and related conditions
- Type
- article
- Field-Weighted Citation Impact
- 0.00